| NPI | 1043889058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996182-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022733) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-08-11 |